Individual provider Active NPI

Laure Grove, M.ED., BCBA

  • Behavior Analyst
  • Alexandria, VA
National Provider Identifier
1013388529
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133001029 Issued in VA
Practice address
6281 Franconia Rd Ste B
Alexandria, VA 22310-2587
Phone
(571) 249-4883
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-15-19647
Behavior Analyst 103K00000X 0133001029 VA Primary

Addresses

Primary practice location

6281 Franconia Rd Ste B
Alexandria, VA 22310-2587

Mailing address

6281 Franconia Rd Ste B
Alexandria, VA 22310-2587
Phone (571) 249-4883

Other practice location 1

18726 S Western Ave
Suite 408
Gardena, CA 90248-3813
Phone (310) 714-2246

Other identifiers 1

IdentifierTypeStateIssuer
0133001029OtherVAVA BA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
0133001029VAMDBehavioral Analyst

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013388529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6281 FRANCONIA RD STE B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102587",
            "telephone_number": "571-249-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6281 FRANCONIA RD STE B",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223102587",
            "telephone_number": "571-249-4883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18726 S Western Ave",
            "address_2": "Suite 408",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902483813",
            "country_code": "US",
            "telephone_number": "310-714-2246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVE",
        "first_name": "LAURE",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-15-19647",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BA LICENSE",
            "identifier": "0133001029",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.